BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 819|
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                              UNFINISHED BUSINESS


          Bill No:  SB 819
          Author:   Yee (D), et al
          Amended:  9/11/09
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEV. COMM.  :  10-0, 4/27/09
          AYES:  Negrete McLeod, Wyland, Aanestad, Corbett, Correa,  
            Florez, Oropeza, Romero, Walters, Yee

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           SENATE FLOOR  :  38-0, 6/3/09
          AYES:  Aanestad, Alquist, Ashburn, Benoit, Calderon,  
            Cedillo, Cogdill, Corbett, Correa, Cox, Denham,  
            DeSaulnier, Ducheny, Dutton, Florez, Hancock, Harman,  
            Hollingsworth, Huff, Kehoe, Leno, Liu, Lowenthal,  
            Maldonado, Negrete McLeod, Oropeza, Padilla, Pavley,  
            Romero, Simitian, Steinberg, Strickland, Walters,  
            Wiggins, Wolk, Wright, Wyland, Yee
          NO VOTE RECORDED:  Runner, Vacancy

           ASSEMBLY FLOOR  :  Not available


           SUBJECT  :    Professions and vocations

           SOURCE  :     California Society, Certified Public  
          Accountants


           DIGEST  :    This bill makes several non-controversial,  
          minor, nonsubstantive or technical changes to various  
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          provisions pertaining to the regulatory boards in the  
          Department of Consumer Affairs.

           Assembly Amendments  delete the portions of the bill which  
          made changes to the Bureau of Electronic and Appliance  
          Repair and the California Architects Board.  In addition,  
          the amendments deleted the portion of the bill which  
          specified that medical malpractice actions have to be made  
          in California because the Medical Board of California does  
          not have jurisdiction to investigate actions made out of  
          state.  The amendments add new sections to the bill  
          pertaining to Registered Dental Hygienists and the  
          licensure and regulation of accountants by the Board of  
          Accountancy, add double-jointing language, and make  
          numerous other technical and clarifying changes.

           ANALYSIS  :    

          Existing law:

          1. Provides for the licensing and regulation of various  
             professions and businesses by some 26 boards, eight  
             bureaus, and one commission within the Department of  
             Consumer Affairs (DCA) under various licensing acts  
             within the Business and Professions Code (BPC), and  
             requires specified boards and bureaus to disclose  
             information about licensees on the Internet, and to  
             require applicants to furnish a full set of fingerprints  
             for the purpose of conducting criminal history record  
             checks. 

          2. The Medical Practice Act (Act) provides for the  
             licensure and regulation of physicians and surgeons by  
             the Medical Board of California located in DCA.  

          3. The Nursing Practice Act provides for the licensure and  
             regulation of nurses by the Board of Registered Nursing  
             in DCA and authorizes individuals whose license is  
             revoked, suspended or placed on probation to petition  
             for the reinstatement of the license or modification of  
             the penalty after a specified time.

          4. The Naturopathic Doctors Act provides for the licensure  
             and regulation of naturopathic doctors by the Bureau of  

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             Naturopathic Medicine in DCA; authorizes the Bureau to  
             grant licenses to individuals who completed training  
             prior to 1986 and meet certain requirements if the  
             application was received before 2008, and requires  
             licensees to obtain continued education through  
             specified continued education courses; and requires  
             licensees on inactive status to meet certain  
             requirements in order to restore the license, including  
             paying a reactivation fee.

          5. Provides for the licensure and regulation of respiratory  
             care practitioners by the Respiratory Care Board of  
             California; authorizes the Board to deny, suspend or  
             revoke a respiratory care license if the licensee  
             obtains or possesses, furnishes, administers or uses a  
             controlled substance or dangerous drug unless directed  
             by an authorized health care practitioner; authorizes  
             the Board to direct respiratory care practitioners or  
             applicants who have violated the law to pay for their  
             investigation and prosecution costs; requires  
             respiratory care practitioners, upon license renewal, to  
             notify the Board of specified information.

          6. The Pharmacy Law provides for the licensure and  
             regulation of pharmacists and pharmacies by the Board of  
             Pharmacy in DCA.

          7. Existing law provides for the licensure and regulation  
             of psychologists, social workers and marriage and family  
             therapists by the Board of Behavioral Sciences and  
             provides for a system of citations and fines applicable  
             to healing arts licensees.

          This bill: 

          1. Makes changes to the following general provisions in the  
             BPC:

             A.    Adds the Professional Fiduciaries Bureau to the  
                lists of specified boards and bureaus which must  
                disclose information about licensees on the Internet  
                (BPC Section 27).

             B.    Requires applicants to furnish fingerprints for  

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                the purpose of conducting criminal history record  
                checks (BPC Section 144).

             C.    Makes correcting and conforming changes (BPC  
                Sections 101 and 146).  

             D.    Makes cleanup provisions relating to professional  
                fiduciaries to correct amendments that were made in  
                SB 1047 (Senate Business, Professions and Economic  
                Development Committee), Chapter 354, Statutes of 2007  
                (BPC Sections 6534, 6536 and 6561).  

             E.    Corrects the name of the Cemetery and Funeral  
                Bureau and references to the Bureau's licensees (BPC  
                Sections 27 and 144). 

          2. Makes the following changes pertaining to the Board of  
             Behavioral Sciences:

             A.    Makes technical changes to maintain the clarity  
                and consistency of the Board statutes (BPC Sections  
                128.5, 801, 803, 4980.04, 4980.30, 4980.43, 4996.17  
                and 4996.18).

             B.    Repeals several sections that are obsolete and  
                outdated (BPC Sections 4981, 4994.1, 4996.20 and  
                4996.21).

             C.    Specifies that engaging in conduct that subverts  
                any licensing examination or administration of an  
                examination is considered unprofessional conduct and  
                therefore, subject to disciplinary action (BPC  
                Sections 4982, 4989.54 and 4992.3).

             D.    Specifies that the Board would cease publishing a  
                citation and fine determination against a licensee on  
                the Internet after five years from the issuance of  
                the citation (BPC Section 4990.09).  The five-year  
                limit would not apply to citations where the fine  
                paid is in excess of $1,500. 

          3. Makes the following changes pertaining to the Board of  
             Pharmacy:


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             A.    Corrects incorrect code section references (BPC  
                Sections 733, 4027, 4040, 4051, 4060, 4076, 4111, and  
                4174; Section 11150 of the Health and Safety Code  
                (HSC)). 

             B.    Clarifies the definition of "designated  
                representative-in-charge" as well as the  
                responsibilities of a licensee acting in that  
                capacity (BPC Section 4022.5). 

             C.    Defines the term "pharmacist-in-charge" as well as  
                the responsibilities of a pharmacist serving as such  
                (BPC Section 4036.5). 

             D.    Clarifies that a designated representative must  
                sign for and receive delivery for drugs by a  
                wholesaler (BPC Section 4059.5). 

             E.    Permits the use of a mobile pharmacy in the event  
                of a declared natural disaster under specified  
                criteria (BPC Section 4062). 

             F.    Corrects a drafting error in previous legislation  
                (BPC Section 4081).  The correct term should be  
                "designated representative in charge." 

             G.    Permits the use of a mobile pharmacy on a  
                temporary basis when a pharmacy is destroyed or  
                damaged (BPC Section 4110). 

             H.    Specifies who in the drug supply chain may receive  
                dangerous drugs furnished by a pharmacy (BPC Section  
                4126.5). 

             I.    Corrects an oversight from a 2004 revision of BPC  
                Section 4161 which left "sales" out of nonresident  
                wholesaler language causing issues with the Board's  
                ability to cite and fine violations of law. 

             J.    Grants the Board the authority to automatically  
                inactivate a pharmacist's license when a pharmacist  
                who certifies completion of required continuing  
                education as a part of licensure renewal fails to  
                provide proof either as part of an audit or  

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                investigation (BPC Section 4231). 

             K.    Clarifies the definition of long-term care  
                facility for purposes of BPC Section 4301. 

             L.    Specifies that failure to meet  
                pharmacist-in-charge notification requirements can  
                constitute grounds for disciplinary action (BPC  
                Section 4305). 

             M.    Prohibits a non-pharmacist from acting as  
                supervisor or pharmacist-in-charge (BPC Section  
                4329).  California law allows for anyone to own a  
                pharmacy, but requires a pharmacist must be in charge  
                of and responsible for the operations of a pharmacy. 

             N.    Clarifies that a pharmacy owner who subverts or  
                tends to subvert the efforts of a  
                pharmacist-in-charge is guilty of a misdemeanor (BPC  
                Section 4330). 

             O.    Requires clinics that dispense schedule II, III  
                and IV controlled substances to report specified  
                information to CURES on a weekly basis (HSC Section  
                11165).  This requirement already applies to  
                pharmacies.

          4. Makes the following changes pertaining to the Board of  
             Podiatric Medicine:

             A.    Specifies that in order to be issued a license to  
                practice podiatric medicine, an applicant must submit  
                directly to the Board verification from the  
                credentialing organizations, that he/she has met the  
                licensing requirements (BPC Sections 2486 and 2488). 

             B.    Makes technical changes to maintain the clarity  
                and consistency of the Board statutes (BPC Section  
                2307). 

          5. Makes the following changes pertaining to the Board for  
             Professional Engineers and Land Surveyors:

             A.    Corrects an erroneous reference in law and repeals  

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                an outdated provision which requires the board to  
                meet in order to approve a license to be issued.   
                Requiring applicants who have met all qualifications  
                to be issued a license while waiting for the board to  
                meet delays in licensure for otherwise qualified  
                individuals (BPC Sections 6761, 8740, and 8746).

          6. Makes the following changes pertaining to the Board of  
             Registered Nursing:

             A.    Clarifies the time period for which registered  
                nurse licensure applicants may petition the Board for  
                a change in their discipline status (BPC Section  
                2760.1).  This conforms the petitioning time period  
                for both applicants and licensees. 

          7. Makes the following changes pertaining to the Bureau of  
             Naturopathic Medicine:

             A.    Deletes an obsolete reference to the Medical Board  
                of California as one of the entities responsible for  
                approving continuing education courses and replaces  
                it with language that states any course approved as  
                continuing education for physicians and surgeons is  
                also deemed approved for naturopathic doctors (BPC  
                Section 3635).  

             B.    Deletes a reference to a redundant reactivation  
                fee for licensees whose licenses have voluntarily  
                been placed on inactive status (BPC Section 3636). 

             C.    Deletes an obsolete provision that provides  
                start-up funding for the Bureau (BPC Section 3685a). 

          8. Makes the following changes pertaining to the Board of  
             Occupational Therapy:

             A.    Requires the Board to report the name and license  
                number of licensees prohibited from practicing to the  
                Department of Health Services (DHS) with the intent  
                to prevent Medi-Cal reimbursement fraud (BPC Section  
                683).  

             B.    Adds the Board to the list of boards required to  

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                create a central file of the names of all licensees  
                for the purpose of obtaining an historical record of  
                each licensee (BPC Section 800).  

             C.    Requires Occupational Therapy Assistants to  
                document their services in patient records and  
                requires both Occupational Therapy Assistants and  
                Occupational Therapists to sign patient records  
                legibly (BPC Section 2570.18.5).  

             D.    Amends BPC Section 2570.5(b) to delete language  
                pertaining to the "first available examination" as  
                the exam is now computer-based and offered on demand  
                and to clarify that the limited privilege ceases to  
                apply to people who fail to pass the exam during the  
                initial eligibility period.

             E.    Authorizes the Board to allow "pre-ACOTE"  
                qualified applicants to be eligible for licensure  
                (BPC Section 2570.6). 

             F.    Provides consistent nomenclature to ensure that  
                qualified practitioners are not denied licensure to  
                practice due to name changes of organization(s) over  
                the last 15-40 years (BPC Section 2570.7)  

             G.    Requires occupational therapists unable to  
                demonstrate completion of specified curriculum  
                programs to demonstrate passage of specified  
                examinations to fulfill curriculum requirements (BPC  
                Section 2750.6).

          9. Makes the following changes pertaining to the Cemetery  
             and Funeral Bureau:

             A.    Makes technical cleanup to outdated provisions and  
                other correcting and clarifying changes (BPC Sections  
                7616 and 7629; HSC Section 8778.5). 

          10.Makes the following change pertaining to the certified  
             interior designers:

             A.    Clarifies that a person may qualify to become a  
                certified interior designer by either education or  

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                experience, or a combination of both education and  
                experience that totals eight years (BPC Section  
                5801). 

          11.Makes the following change pertaining to the Medi-Cal  
             Benefits Program:

             A.    Deletes a specific reference to osteopathic  
                physicians and replaces with language that refers to  
                all physicians and surgeons (Section 14132.100 of the  
                Welfare and Institutions Code).  

          12.Makes the following changes pertaining to the Medical  
             Board of California:

             A.    Explains and clarifies the types of residency  
                programs and post graduate training programs that are  
                approved for the clinical instruction requirement  
                (BPC Sections 2089.5 and 2096). 

             B.    Specifies the licensure requirements for  
                applicants whose training was received outside the  
                country (BPC Section 2102). 

             C.    Makes technical corrections and conforming changes  
                regarding the duration of postgraduate training  
                requirements (BPC Section 2107). 

             D.    Specifies that the professional instruction for  
                resident courses must be those which lead to a degree  
                of Medical Doctor (BPC Section 2135).  

             E.    Includes a requirement for continuing medical  
                education for specialty faculty permits to make it  
                consistent with requirements for other licensees (BPC  
                Sections 2168.4 and 2169).

             F.    Repeals obsolete language regarding licensing  
                examinations (BPC Sections 2172, 2173, 2174 and  
                2175).  The provisions are obsolete as the Board no  
                longer administers examinations. 

             G.    Creates a process by which an applicant's  
                probationary certificate can be modified or  

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                terminated in a way that is consistent with the  
                current process in which a probationary certificate  
                is modified through an enforcement action (BPC  
                Section 2221).  

             H.    Allows physicians licensed in other states to  
                submit letters of recommendation to the Board on  
                behalf of physicians whose licenses are under  
                investigation, on probation or have been suspended  
                (BPC Section 2307). 

             I.    Changes the Board's timeframe acting on proposed  
                decisions from 90 days to 100 days (BPC Section  
                2335).  The current 90-day requirement is not  
                consistent with other sections relating to this  
                requirement. 

             J.    Makes technical changes to maintain the clarity  
                and consistency of the Board statutes (BPC Section  
                2486 and 2488).

          13.Makes the following change pertaining to the Physician  
             Assistant Committee:

             A.    Deletes obsolete references to interim approval to  
                practice (BPC Section 3503, 3517 and 3518).  Interim  
                approval is no longer needed as the licensing  
                examination is now offered on a monthly basis. 

          14.Makes the following change pertaining to the Physical  
             Therapy Board of California:

             A.    Authorizes the Board to disconnect telephone  
                service furnished to an unlicensed person advertising  
                in a telephone directory (BPC Section 149). 

          15.Makes the following changes pertaining to the  
             Respiratory Care Board of California:

             A.    Allows the Board to take disciplinary action  
                against a licensee practicing respiratory care while  
                under the influence of drugs or alcohol (BPC Section  
                3750.5).  Limits the Board's action to the timeframe  
                in which the individual applies for licensure or is  

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                licensed by the Board.
              
             B.    Clarifies the Board's authority to recover costs  
                for disciplinary matters involving probation  
                violations (BPC Section 3753.5). 

             C.    Permits the Board to inactivate the license of any  
                licensee who fails to provide requested information  
                pertaining to his/her conviction record within 30  
                days (BPC Section 3773). 

             D.    Adds respiratory care practitioners to a list a  
                health care providers who have liability protection  
                in states of emergency (Section 8659 of the  
                Government Code). 

          16.Makes the following change pertaining to the Veterinary  
             Medical Board:

             A.    Specifies that veterinary records regarding  
                euthanasia are subject to the Public Records Act (BPC  
                Section 4857).

          17.Makes the following change pertaining to the Court  
             Reporters' Board Transcript Reimbursement Fund:

             A.    Cleans-up last year's extension of the sunset date  
                of the Transcript Reimbursement Fund [SB 693  
                (Ridley-Thomas), Chapter 385, Statutes of 2008] by  
                correspondingly extending the date on which all  
                unencumbered funds remaining in the Transcript  
                Reimbursement Fund would be transferred to the Court  
                Reporters Fund to January 1, 2011.

          18.Makes the following change pertaining to Registered  
             Dental Hygienists:

             A.    Permits individuals holding a license as a  
                registered dental hygienist (RDH), RDH in an  
                alternative practice, or RDH in extended functions,  
                as of December 31, 2005, to perform the duties of a  
                registered dental assistant (RDA) in this bill (BPC  
                Section 1970).


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             B.    Permits individuals holding a license as an RDH,  
                RDH in alternative practice, or RDH in extended  
                functions, on or after January 1, 2006, to qualify  
                for and receive an RDA license prior to performing  
                the duties of an RDA in this bill (BPC Section 1970).

          19.Makes the following changes related to the licensure and  
             regulation of accountants by the Board of Accountancy:

             A.    Makes the 120-hour pathway to licensure  
                inoperative as of January 1, 2014, except as  
                specified, and requires, on and after that date, the  
                150-hour pathway to include 10 units of ethics study,  
                as defined, and 20 units of accounting study, as  
                                         defined.

             B.    Creates the Advisory Committee on Accounting  
                Ethics within the jurisdiction of the Board of  
                Accountancy to be composed of 11 members, as  
                specified, and requires the Committee, on or before  
                January 1, 2012, to recommend guidelines for the  
                ethics study requirement to the Board of Accountancy.  


             C.    Requires the Board of Accountancy to adopt those  
                recommendations by January 31, 2013, and also  
                requires the Board of Accountancy to adopt guidelines  
                for the accounting study requirement by January 1,  
                2012, as specified. 

             D.    Requires the Board, by September 1, 2010, to hold  
                a hearing on a specified report by the California  
                Research Bureau and, at the hearing, to make  
                recommendations on ensuring the relevancy of  
                accountancy education to the modern practice of  
                accounting, as specified.

           Background  

          This bill is the annual omnibus Committee bill authored by  
          the Senate Business, Professions and Economic Development  
          Committee which consolidates a number of non-controversial  
          provisions related to various regulatory programs and  
          professions governed by the Business and Professions Code.   

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          Consolidating the provisions in one bill is designed to  
          relieve the various licensing Boards, bureaus and  
          professions from the necessity and burden of having  
          separate measures for a number of non-controversial  
          revisions.

           FISCAL EFFECT  :    Appropriation:  Yes   Fiscal Com.:  Yes    
          Local:  Yes

           SUPPORT  :   (Verified  9/11/09)

          California Society, Certified Public Accountants (source)
          American Institute of Certified Public Accountants
          Ascend, San Francisco Bay Area Chapter
          Asian Pacific Islander California Action Network
          California Hispanic Chambers of Commerce
          California Teachers Association
          Federation of Schools of Accountancy
          Latino Business Professionals of San Francisco
          Latinos Professionals in Finance and Accounting
          National Association of Black Accountants, Inc.
          National Association of State Boards of Accountancy
          Philippine American Society of Certified Public Accountants


          JJA:mw  9/11/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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